{"id":23309,"date":"2019-12-17T21:39:04","date_gmt":"2019-12-17T21:39:04","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=23309"},"modified":"2020-01-29T01:13:49","modified_gmt":"2020-01-29T01:13:49","slug":"a-laboratory-approach-for-characterizing-chronic-fatigue-what-does-metabolomics-tell-us","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/a-laboratory-approach-for-characterizing-chronic-fatigue-what-does-metabolomics-tell-us\/","title":{"rendered":"A laboratory approach for characterizing chronic fatigue: what does metabolomics tell us?"},"content":{"rendered":"<h3><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11306-019-1620-4\" target=\"_blank\" rel=\"noopener noreferrer\">A laboratory approach for characterizing chronic fatigue: What does metabolomics tell us?<\/a> by Elardus Erasmus, Shayne Mason, Mari van Reenen, Francois E<br \/>\nSteffens, B Chris Vorster, Carolus J Reinecke <span style=\"text-decoration: underline;\">in<\/span> <em>Metabolomics<\/em> Vol 15, p 158, November 27, 2019<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Research abstract:<\/strong><\/h3>\n<p><strong>Introduction:<\/strong><br \/>\nManifestations of fatigue range from chronic fatigue up to a severe syndrome and myalgic encephalomyelitis. Fatigue grossly affects the functional status and quality of life of affected individuals, prompting the World Health Organization to recognize it as a chronic non-communicable condition.<\/p>\n<p><strong>Objectives:<\/strong><br \/>\nHere, we explore the potential of urinary <a href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolite\" target=\"_blank\" rel=\"noopener noreferrer\">metabolite<\/a> information to complement clinical criteria of fatigue, providing an avenue towards an objective measure of fatigue in patients presenting with the full spectrum of fatigue levels.<\/p>\n<p><strong>Methods:<\/strong><br \/>\n<a href=\"https:\/\/wames.org.uk\/cms-english\/a-laboratory-approach-for-characterizing-chronic-fatigue-what-does-metabolomics-tell-us\/nmr\/\" rel=\"attachment wp-att-23345\"><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright wp-image-23345 size-full lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/NMR.jpg?resize=250%2C309&#038;ssl=1\" alt=\"\" width=\"250\" height=\"309\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/NMR.jpg?w=250&amp;ssl=1 250w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/NMR.jpg?resize=243%2C300&amp;ssl=1 243w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2019\/12\/NMR.jpg?resize=121%2C150&amp;ssl=1 121w\" data-sizes=\"(max-width: 250px) 100vw, 250px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 250px; --smush-placeholder-aspect-ratio: 250\/309;\" \/><\/a>The experimental group consisted of 578 chronic fatigue female patients. The measurement design was composed of (1) existing clinical fatigue scales, (2) a <a href=\"https:\/\/fxmed.co.nz\/portfolio-item\/hepatic-detoxification-profile-hdp\/\" target=\"_blank\" rel=\"noopener noreferrer\">hepatic detoxification challenge test<\/a>, and (3) untargeted proton nuclear magnetic resonance (<a href=\"https:\/\/en.wikipedia.org\/wiki\/Proton_nuclear_magnetic_resonance\" target=\"_blank\" rel=\"noopener noreferrer\">1H-NMR<\/a>) procedure to generate metabolomics data. Data analysed via an in-house Matlab script that combines functions from a Statistics and a PLS Toolbox.<\/p>\n<p><strong>Results:<\/strong><br \/>\nMultivariate analysis of the original 459 profiled 1H-NMR bins for the low (control) and high (patient) fatigue groups indicated complete separation following the detoxification experimental challenge. Important bins identified from the 1H-NMR spectra provided quantitative metabolite information on the detoxification challenge for the fatigue groups.<\/p>\n<p><strong>Conclusions:<\/strong><br \/>\nUntargeted 1H-NMR metabolomics proved its applicability as a global profiling tool to reveal the impact of toxicological interventions in chronic fatigue patients. No clear potential biomarker emerged from this study, but the quantitative profile of the phase II biotransformation products provide a practical visible effect directing to up-regulation of crucial phase II enzyme systems in the high fatigue group in response to a high <a href=\"https:\/\/en.wikipedia.org\/wiki\/Xenobiotic\" target=\"_blank\" rel=\"noopener noreferrer\">xenobiotic-load.<\/a><\/p>\n<p><a href=\"https:\/\/sci-hub.tw\/https:\/\/doi.org\/10.1007\/s11306-019-1620-4\" target=\"_blank\" rel=\"noopener noreferrer\">Read full paper<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A laboratory approach for characterizing chronic fatigue: What does metabolomics tell us? by Elardus Erasmus, Shayne Mason, Mari van Reenen, Francois E Steffens, B Chris Vorster, Carolus J Reinecke in Metabolomics Vol 15, p 158, November 27, 2019 &nbsp; Research &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/a-laboratory-approach-for-characterizing-chronic-fatigue-what-does-metabolomics-tell-us\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[5423,5089,5091,5087,4887,5088,5090,1262,5422,5419,5420,5421],"class_list":["post-23309","post","type-post","status-publish","format-standard","hentry","category-news","tag-1h-nmr","tag-b-chris-vorster","tag-carolus-j-reinecke","tag-detoxification","tag-elardus-erasmus","tag-francois-e-steffens","tag-mari-van-reenen","tag-metabolomics","tag-nuclear-magnetic-resonance","tag-phase-ii-biotransformation","tag-piper-fatigue-scale","tag-shayne-mason"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-63X","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/23309","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=23309"}],"version-history":[{"count":8,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/23309\/revisions"}],"predecessor-version":[{"id":23545,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/23309\/revisions\/23545"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=23309"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=23309"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=23309"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}